Estefania Abasolo Lopez, MD
Individual provider Active NPI Internal Medicine Physician · Manassas, VA
NPI 1043899545 · NPPES record last updated Aug 4, 2026
Key facts
- NPI
- 1043899545
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 0101289071 (VA)
- Practice address
- 10945 George Mason Cir
Manassas, VA 20110-2233 - Phone
- (571) 778-5108
- NPI assigned
- Apr 3, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210713002277 | WI | Order and Referring Only - Endocrinology |
6709288756 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81777-20 | WI | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101289071 | VA | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 036170877 | IL | |
| Internal Medicine Physician | 207R00000X | 81777-20 | WI |
Addresses
Primary practice location
10945 George Mason Cir
Manassas, VA 20110-2233
Mailing address
PO Box 748613
Atlanta, GA 30374-8613
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All providers in Manassas, VA · Internal Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.